Organization
COUNTY OF PERKINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE SESTAK (TREASURER)
(308) 352-2703
Entity
Organization
Contact information
Practice address
200 LINCOLN AVE, GRANT, NE 69140-3130
(308) 352-2499
(308) 352-2499
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(877) 218-4392
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1231
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09372
BLUE CROSS/ BLUE SHIELD
NE
05
—
42775876
—
CO
Enumeration date
06/19/2006
Last updated
02/08/2023
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